HomeMy WebLinkAboutPlg Permit 01-0019
CITY OF PRIOR LAKE
- PLUMBIN~ERMIT #
APPlicant--.d.0Ve. t~ . YYlf{t~ne:1LJl-
Addres~: 1 YJ;11liJ '~~~. :;/'....-tit VJr-/'
Signat : ~
Legal scription: ~9!:.-",; to. . BIOCkl;j-. .. Sub ~W~
Site Address: IYJr/1.ifJ ~12f) ~ ~;>/
Building Permit # ,PID # 25-.3(p 7 - (J DC, - f)
NOTE: This permit will not be processed without complete Information. I
FIXTURE UNITS
OOlq
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Th~ Cenler of the Lake Country
Quantity
Type of Fixture
Bath Tub with or without shower
Quantity
Type of Fixture
Dishwasher
Floor Drain
Lavatory (bathroom sink)
Laundry Tray (1 or 2 compartment sink)
Shower Stall
Sinks
Bar Sink
Water Closet (toilet)
I
Rough-ins
Water Heater
Water Softner
~ A/O. OU
Stand Pipe (washing machine)
Sewage Ejector
Backflow Assembly (RPZ, Double Check, PVB)
Backflow Assembly Test
Lawn Sprinkler
Other
FEE SCHEDULE
Industrial, Commercial & Multi-Family
(1 % of job cost, $39.50 minimum)
Residential, New One & Two Family
Residential, Additions & Alterations
State Surcharge
$99.50
$39.50
$ 3?5D
$
$
$ .50
GRAND TOTAL
$Lft)~uJ
This permit is granted upon the express condition that said
contractor, shall comply in all respects with the ordinances
of the State Plumbing ~ am,.dm~t~thereof,
..3/JrJ(, IRE, -.!../ 12..-. 0 DATE
.
ATfEST
Call for all in ections 24 hours in advance.
16200 Eagle Creek Av. S.E., Prior Lake, Minnesota 55372 / Ph. (612) 447-4230/ FAX (612) 447-4245
An Equal Opportunity Employer
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE
~/U1rb-,
I
TIME
r!Afl-..r...-tt
I
ADDRESS
I 5SCo 0 "\3> {2.ao,," 5 (C>6"'
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
00/-0/1
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
~O GASLlNE AIR TST
fl 0 Ws
/~ORK SATISFACTORY, PROCEED
~ ~'ORRECT ACTION AND PROCEED
o CORRECT WORK.'cALL FOR REINSPECTION BEFORE COVERING
, . I
Inspector: i (l./v~:t Owner/Contr:
CALL 447-9850 FOR TH~ NEXT INSPECTION 24 HOURS IN ADVANCE.,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI